PENERAPAN LATIHAN SOSIALISASI BERTAHAP PADA PASIEN SKIZOFRENIA UNDIFFERENTIATED DENGAN ISOLASI SOSIAL DI UPT BINA LARAS PASURUAN

Background : In this Final Scientific Work, we take a case of social isolation (withdrawal) due to poor self-knowledge (insight), the lient feels that he does not experience the mental illness he is currently uffering from, the client knows that he is often alone and does not like socializing so It is difficult for clients to be given education such as building trusting relationships, teaching patients to get to know other people. Clients also experience thought process disorders which make it difficult for clients to accelerate. What needs to be done here is to provide nursing actions such as building a relationship of mutual trust, helping the client understand
the causes of social isolation, providing the client with an understanding of the advantages and disadvantages of not having contact with other people, and teaching the client to get to know each other in stages. So that clients receive the implementation of gradual socialization and the Social Isolation Nursing Action
Implementation Strategy (SPTK). This Final Scientific Work aims to implement gradual socialization training for Mrs. M.
Method : The research method used in this research is using a case study. The author follows the scientific method according to the rules of the nursing process, which consists of assessment, data analysis, nursing intervention, implementation and evaluation. The author used various data collection techniques such as anamnesis, observation, documentation studies and physical examination to collect various data from Mrs. To complete the data, the author also conducted interviews with patients and carried out regular monitoring using the Indonesian Nursing Diagnosis Standard (SDKI) instrument.
Results : After providing nursing care for 7 days to Mrs. M with social isolation with gradual socialization obtained Mrs. M had prominent negative symptoms such as poor nonverbal communication such as in facial expressions, eye contact, voice modulation, self-grooming and poor social performance.
Discussion : The problem of social isolation nursing in changes in the mental status of clients receiving antipsychotic drugs, namely Trifluoperazine and Chlorpromazine which are given in the morning which have the side effect of being sleepy in the morning, one of the effects of which is that the client often sleeps and does not interact with other clients so that he is stagnant in SP 2 and the recommendation needed for patients is Socialization Group Activity Therapy (TAKS) to socialize gradually.